Organization
ITS MINE MOVEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLA AMINAH JAMES (EXECUTIVE DIRECTOR)
(267) 901-8612
Entity
Organization
Contact information
Practice address
1440 CONCHESTER HWY STE 8A, GARNET VALLEY, PA 19060-2105
(215) 258-9110
(215) 258-8588
Mailing address
701 E CATHEDRAL RD STE 45-1395, PHILADELPHIA, PA 19128-2128
(267) 766-6060
(215) 258-8588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103965593
—
PA
Enumeration date
05/13/2021
Last updated
12/24/2024
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